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Individual

MRS. NICOLE EILEEN WASHBURN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
909 S 2ND ST, HIAWATHA, KS 66434-2774
(785) 201-7585
Mailing address
909 S 2ND ST, HIAWATHA, KS 66434-2774
(785) 201-7585

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10329
KS

Other

Enumeration date
03/23/2017
Last updated
07/06/2022
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